NCLEX-PN
Musculoskeletal NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
The nurse is providing discharge teaching to the 12-year-old with a fractured humerus and the parents. Which information should the nurse include regarding cast care?
Correct Answer: A
Rationale: Keeping the arm at heart level reduces edema in a casted humerus. Wire hangers risk skin damage, ice is for swelling not itching, and foul smells indicate infection.
Question 2 of 5
Which explanation most accurately explains to the client the primary purpose of the splints?
Correct Answer: A
Rationale: Splints in rheumatoid arthritis are used to rest joints, reducing inflammation and slowing joint deterioration during acute episodes. They do not primarily strengthen hands or increase motion.
Question 3 of 5
The nurse knows that elevated findings on which laboratory test typically validate a diagnosis of gout?
Correct Answer: C
Rationale: Elevated serum uric acid levels confirm gout, as they reflect the hyperuricemia leading to crystal formation in joints. Other tests are not specific to gout diagnosis.
Question 4 of 5
The school nurse is completing spinal screenings. Which data require a referral to an HCP?
Correct Answer: D
Rationale: Asymmetrical arm positioning (right lower than left) suggests scoliosis, requiring HCP referral. Symmetrical arms, resolving deformities, and equal spacing are normal.
Question 5 of 5
The nurse is preparing to administer subcutaneous Lovenox, a low molecular weight heparin. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Lovenox is administered in the anterolateral abdomen for optimal absorption. aPTT is for unfractionated heparin, fluids are unrelated, and vitamin K affects warfarin.